Erica Marie Peabody, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301008978 Issued in MI

Practice address

114 W Caroline St
Fenton, MI 48430-3802

Phone

(810) 629-6023

Fax

(810) 629-6024

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cafe of Life Fenton, LLC

  • Chiropractor
  • Fenton, MI
  • NPI 1891913927
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073648168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W CAROLINE ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303802",
            "telephone_number": "810-629-6023",
            "fax_number": "810-629-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W CAROLINE ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303802",
            "telephone_number": "810-629-6023",
            "fax_number": "810-629-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEABODY",
        "first_name": "ERICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkway Family Medicine PLLC
• Kari Elizabeth Parnell, M.A. SLP
• Skyler Allen Partee
• Breanne Teresa Passalacqua, M.A.,LPC
• Sarah Lynn Paxton, D.D.S.
• Denise Ann Perry, LICENSED MASSAGE THE
• Elizabeth Marie Phillips, LCSW
• Jamie G. Phillips, D.C.
• Physiotherapy Associates Inc
• Tiffany Pijor, PHARMD

• Chiropractor in Fenton, MI
• Providers in Fenton, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.